JUSTIN MICHEAL SULLIVAN

STRATFORD, NJ
NPI1821634239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00553600)
Enumeration Date2019-11-20
Last Update Date2020-02-11
Business Address
JUSTIN MICHEAL SULLIVAN PA-C
205 E LAUREL RD
STRATFORD, NJ 08084-1301
Phone number: 856-344-2315
Mailing Address
JUSTIN MICHEAL SULLIVAN PA-C
205 E LAUREL RD
STRATFORD, NJ 08084-1301
Phone number: 844-542-2273
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